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General NPI Number Information
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NPI Number | 1174691570
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Entity Type | Organization
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Legal Business Name | RIDE WITH HOPE SEVICES
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 39 CAMPBELL PARK DRIVE RIDE WITH HOPE SERVICES
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City | LEBANON
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State | VA
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Zip | 24266
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Country | US
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Telephone | 609-476-0459
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Fax |
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Provider Business Mailing Address
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Address Line | 39 CAMPBELL PARK DR
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City | LEBANON
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State | VA
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Zip | 24266-5232
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Country | US
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Telephone | 609-476-0459
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA BEACH
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Credential |
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Telephone | 609-476-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00274100
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License Number State | NJ
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